CLIA lab
CLIA 04D1091240: Izard Regional Hospital
Calico Rock, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D1091240 belongs to Izard Regional Hospital in Calico Rock, AR.
Certificate of Waiver, effective October 28, 2026, expires October 27, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 28, 2026
- Certificate expiration
- October 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 2008
- Facility type
- Rural health clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D1091240
- Lab name
- Izard Regional Hospital
- Address
- 61 Grasse Street, Calico Rock, AR 72519
- Phone
- (870) 297-2476
- Fax
- (870) 297-4161
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Calico Rock, AR
- Baxter Health Family Clinic at Calico RockCertificate of Waiver, Community clinic04D2137585
- Elite Home HealthCertificate of Waiver, Home health agency04D1089266
- Izard Regional HospitalCertificate of Compliance, Hospital04D0642313
- Mitchell's Park Street Pharmacy, IncCertificate of Waiver, Pharmacy04D2235853
- White River HealthcareCertificate of Waiver, Skilled nursing or nursing facility04D1024460
Related
Questions
What is the CLIA number for Izard Regional Hospital in Calico Rock?
04D1091240, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Izard Regional Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 04D1091240 expire?
The CMS file lists October 27, 2028 as the certificate expiration date; the certificate took effect October 28, 2026.